HomeMy WebLinkAboutdrain layer permit 96 Pine Knob Drive s
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Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Monday, August 17, 2009 9:31 AM
Conversation: Locate Request-20093400263
Posted To: CBYD
Subject: Locate Request-20093400263
(CALL BEFORE YOU DIG - CT) 08/17/2009 09:31:24
-5G -C1 -CW -GV
-OT 3-SW SWINDS -T5
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***** ROUTINE *****
TIME. .09:31 DATE. .08/17/2009
REQUEST NO. . .20093400263
LATITUDE. .41.8344524 LONGITUDE. .-72.5097421
TOWN. . . . . .SOUTH WINDSOR P�V^k�.
ADDRESS. . . 96 f
STREET. . . .PINE KNOB DR
r
NEAREST
CROSS STREET. .HIGHLAND DR
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TYPE OF WORK. . . . .EXC TO INSTALL SEWER HOOK UP
AREA IS MARKED. . .YES
REMARKS:
WORKING ON THE LEFT SIDE OF THE HOUSE
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START DATE. . . . . .08/20/2009 START TIME. .07:00
CALLER. . . . . . . . . .WILMA MATOS
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-875-2332
FAX #. . . . . . . . . . .860-875-0428
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .SKIP SEPTIC SERVICE
ADDRESS. . . . . . . . .27 MUDDY BROOK RD
CITY. . . . . . . . . . . .ELLINGTON
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06029
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EXCAVATOR DOING WORK. .SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
1
ows3
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $60.00
Location of proposed work: qa tV1fXfg Jam Lot #
Street No. Street Name
Premises owned by: e-S'T '
Name of Firm: rr---I S Phone: 7 5 z 3 3 2-
Address of Firm: 0. e-.,j 67r
TYPE OF WORK:
Lay House Drain_; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with c P V C
Existing Water Supply: Public Water Well
Proposed Start Date 54 Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to fib ��'�-�� the holder of Drain
Layer's License No. zd 7'7 z -,f— Only holders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set forth in the permit and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. ,9-GO g c3 610 Z 3
Signed. Print Name: 117Wd?ue3- 4),f4kC7,-
Li ensed Drain Layer
Date: S-2o 0 2
Standard FormsTermits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT'NO.: 000_!� 3 CONTRACTOR: ,5
LOCATION: l;vI o b Dr ; Ile
T&E OF WORK:
..DATE INSP NEEDED:
DATE INSP: s e3
INSPECTED BY:
WORKJN
PROGRESS: , Gz 'r p uC SD R 3s fib S
e Flosseail
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DATE:__ 9 �
W/2007 Town of South 1Mndsor INPSEMON REPORT 07
900053 TOWN O F
PERMIT NUMBER SOUTH W I N D S O R,
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THE TOWN OF SOUTH WINDSOR STAND \ a STATE AND HEREBY AGREES TO ALL
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ISSUED BY DATE INSPECTED
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